803 Christy Gilbert Holstege 2020-01-02 Jeffrey TownsBehested Payment Report A Public Do&Mn?
1. Elected Officer or CPUC Member (Last name, First name)
Christy Gilbert Holstege 2020
City of Palm Springs
3200 E Tahquitz Canyon Way
Designated Contact Person (Name and title, if ci herent)
Christy Gilbert Holstege
Area Code/Phone Number E-mall (optional)
(760) 323-8299 christy.holstege@palmspringsca.gov
i 4 E D Be
handed Payment Report
Date Stamp • : '
-2 PN 3: 40
For Official Use Onty
OFFICI OF TIIE CITY CLE."11,
❑ Amendmem(See Ra,t5)
Date of Original Filing:
(month, day yew
2. Payor Information(Foradditionalpayors. induce an attachment with the names and addresses.)
Jeff rev Towns
15823 s. western ave Gardena CA 90247
Address cry State Lp Code
3. Payee Information (For additional payees. include an attachment with the names and addresses.)
Equality California
Name
3701 Wilshire Blvd, Suite 725 Los Angeles CA 90010
Address Clry Slate Z,p Cade
4. Payment Information (Complete an ndo,mabon.)
Date of Payment: 10(2/2019 Amount of Payment: (In -lend FM1) $ 5'000
(month, day, year) (Round to whole dollars.)
Payment Type: ® Monetary Donation or ❑ In -Kind Goods or Services (Provide description below.)
Brief Description of In -Kind Payment:
Purpose:(Chep one and mwdedeso,iprronbelow; ❑Legislative ❑Governmental ®Charitable
Describe the legislative, governmental, charitable purpose, or event: Equality California Palm Springs Awards
2019
5. Amendment Description and/or Comments
I am not aware of the actual date the payment was received.
6. Verification
I certify, under penalty of perjury under the laws of the State of California, that to the best of my knowledge, the information contained
herein is true and complete.
Executed on 1/2/2020 By
rrr,rouYree ne.pune: 000rwn-mra. teoorcr o-orr2)